HomeMy WebLinkAboutR2020-0863 - Permit ApplicationCity of Newport Beach RECEIVJCO
COMMUNITY DEVELOPMENT DEPARTMENT ey
BUILDING DIVISION COAIkU
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8 15 ,r
www.newportbeachca.gov 1 (949) 644-3200 11CT ® y
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Application for Report of Residential Building R�'` rd�s MEIvr
Application Fee: $194.00 Notice: Applications with insufficient fee
payment
Please type or print and complete all information
# of Units:1 Address:2301 Alta Vista Drive City: Newport Beach State: CA Zip: 92660
Property Owner: BC Investments - 2301 Alta Vista LLC a California limited liability company
Owner Address: - City:
State: -Zip Code: - Home Phone:
Owner's Authorized Agent: Mollie Butcher/ Kim Walker Work Phone:
Agent Address: 520 Newport Center Dr. Ste 330, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: Agent Email Address: mollie.butcher(@compass com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive Suite 200
State: CA Zip Code: 92660
Email Report To: djohnson@marinersescrow.com
For Inspection Call (Name):
Escrow # 59381 -DJ
City: Newport Beach
Escrow Phone: 949-640-6040
Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
I authorize inspections and re -inspections of the property listed above. I understand that if Building or Zoning
violations are discovered I will be responsible to correct said violations.
Owner or Agent's signature to authorize inspection Date:
Owner or Agent's signature to decline
F C.i.T \ 11 P 5 —
Account # 2900-5005 ................. Make
�checks payable to CITY OF NEWPORT BEACH